|
CHG RADEX ANKLE COMPLETE MINIMUM 3 VIEWS
|
Professional
|
Both
|
$48.00
|
|
|
Service Code
|
HCPCS 73610
|
| Min. Negotiated Rate |
$19.20 |
| Max. Negotiated Rate |
$47.20 |
| Rate for Payer: Aetna Commercial |
$43.93
|
| Rate for Payer: Aetna Commercial |
$43.93
|
| Rate for Payer: Aetna Commercial |
$43.93
|
| Rate for Payer: Aetna Medicare |
$32.78
|
| Rate for Payer: Aetna Medicare |
$32.78
|
| Rate for Payer: Aetna Medicare |
$32.78
|
| Rate for Payer: BCBS Complete |
$12.40
|
| Rate for Payer: BCBS Complete |
$19.20
|
| Rate for Payer: BCBS Complete |
$35.60
|
| Rate for Payer: BCBS MAPPO |
$32.78
|
| Rate for Payer: BCBS MAPPO |
$32.78
|
| Rate for Payer: BCBS MAPPO |
$32.78
|
| Rate for Payer: BCN Medicare Advantage |
$32.78
|
| Rate for Payer: BCN Medicare Advantage |
$32.78
|
| Rate for Payer: BCN Medicare Advantage |
$32.78
|
| Rate for Payer: Cash Price |
$71.20
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$71.20
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cofinity Commercial |
$43.93
|
| Rate for Payer: Cofinity Commercial |
$47.20
|
| Rate for Payer: Cofinity Commercial |
$47.20
|
| Rate for Payer: Cofinity Commercial |
$43.93
|
| Rate for Payer: Cofinity Commercial |
$47.20
|
| Rate for Payer: Cofinity Commercial |
$43.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.78
|
| Rate for Payer: Healthscope Commercial |
$39.34
|
| Rate for Payer: Healthscope Commercial |
$39.34
|
| Rate for Payer: Healthscope Commercial |
$39.34
|
| Rate for Payer: Healthscope Whirlpool |
$39.34
|
| Rate for Payer: Healthscope Whirlpool |
$39.34
|
| Rate for Payer: Healthscope Whirlpool |
$39.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34.42
|
| Rate for Payer: Nomi Health Commercial |
$39.34
|
| Rate for Payer: Nomi Health Commercial |
$39.34
|
| Rate for Payer: Nomi Health Commercial |
$39.34
|
| Rate for Payer: PACE SWMI |
$32.78
|
| Rate for Payer: PACE SWMI |
$32.78
|
| Rate for Payer: PACE SWMI |
$32.78
|
| Rate for Payer: PHP Medicare Advantage |
$32.78
|
| Rate for Payer: PHP Medicare Advantage |
$32.78
|
| Rate for Payer: PHP Medicare Advantage |
$32.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$57.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.20
|
| Rate for Payer: Priority Health Medicare |
$32.78
|
| Rate for Payer: Priority Health Medicare |
$32.78
|
| Rate for Payer: Priority Health Medicare |
$32.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$32.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$32.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$32.78
|
| Rate for Payer: UHC Medicare Advantage |
$32.78
|
| Rate for Payer: UHC Medicare Advantage |
$32.78
|
| Rate for Payer: UHC Medicare Advantage |
$32.78
|
| Rate for Payer: UHCCP DNSP |
$32.78
|
| Rate for Payer: UHCCP DNSP |
$32.78
|
| Rate for Payer: UHCCP DNSP |
$32.78
|
|
|
CHG RADEX CALCANEUS MINIMUM 2 VIEWS
|
Professional
|
Both
|
$40.00
|
|
|
Service Code
|
HCPCS 73650
|
| Min. Negotiated Rate |
$16.00 |
| Max. Negotiated Rate |
$36.98 |
| Rate for Payer: Aetna Commercial |
$34.41
|
| Rate for Payer: Aetna Commercial |
$34.41
|
| Rate for Payer: Aetna Commercial |
$34.41
|
| Rate for Payer: Aetna Medicare |
$25.68
|
| Rate for Payer: Aetna Medicare |
$25.68
|
| Rate for Payer: Aetna Medicare |
$25.68
|
| Rate for Payer: BCBS Complete |
$11.20
|
| Rate for Payer: BCBS Complete |
$16.00
|
| Rate for Payer: BCBS Complete |
$30.00
|
| Rate for Payer: BCBS MAPPO |
$25.68
|
| Rate for Payer: BCBS MAPPO |
$25.68
|
| Rate for Payer: BCBS MAPPO |
$25.68
|
| Rate for Payer: BCN Medicare Advantage |
$25.68
|
| Rate for Payer: BCN Medicare Advantage |
$25.68
|
| Rate for Payer: BCN Medicare Advantage |
$25.68
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cofinity Commercial |
$34.41
|
| Rate for Payer: Cofinity Commercial |
$36.98
|
| Rate for Payer: Cofinity Commercial |
$36.98
|
| Rate for Payer: Cofinity Commercial |
$34.41
|
| Rate for Payer: Cofinity Commercial |
$36.98
|
| Rate for Payer: Cofinity Commercial |
$34.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.68
|
| Rate for Payer: Healthscope Commercial |
$30.82
|
| Rate for Payer: Healthscope Commercial |
$30.82
|
| Rate for Payer: Healthscope Commercial |
$30.82
|
| Rate for Payer: Healthscope Whirlpool |
$30.82
|
| Rate for Payer: Healthscope Whirlpool |
$30.82
|
| Rate for Payer: Healthscope Whirlpool |
$30.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26.96
|
| Rate for Payer: Nomi Health Commercial |
$30.82
|
| Rate for Payer: Nomi Health Commercial |
$30.82
|
| Rate for Payer: Nomi Health Commercial |
$30.82
|
| Rate for Payer: PACE SWMI |
$25.68
|
| Rate for Payer: PACE SWMI |
$25.68
|
| Rate for Payer: PACE SWMI |
$25.68
|
| Rate for Payer: PHP Medicare Advantage |
$25.68
|
| Rate for Payer: PHP Medicare Advantage |
$25.68
|
| Rate for Payer: PHP Medicare Advantage |
$25.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.00
|
| Rate for Payer: Priority Health Medicare |
$25.68
|
| Rate for Payer: Priority Health Medicare |
$25.68
|
| Rate for Payer: Priority Health Medicare |
$25.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$25.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$25.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$25.68
|
| Rate for Payer: UHC Medicare Advantage |
$25.68
|
| Rate for Payer: UHC Medicare Advantage |
$25.68
|
| Rate for Payer: UHC Medicare Advantage |
$25.68
|
| Rate for Payer: UHCCP DNSP |
$25.68
|
| Rate for Payer: UHCCP DNSP |
$25.68
|
| Rate for Payer: UHCCP DNSP |
$25.68
|
|
|
CHG RADEX CLAVICLE COMPLETE
|
Professional
|
Both
|
$41.00
|
|
|
Service Code
|
HCPCS 73000
|
| Min. Negotiated Rate |
$16.40 |
| Max. Negotiated Rate |
$42.49 |
| Rate for Payer: Aetna Commercial |
$39.54
|
| Rate for Payer: Aetna Commercial |
$39.54
|
| Rate for Payer: Aetna Commercial |
$39.54
|
| Rate for Payer: Aetna Medicare |
$29.51
|
| Rate for Payer: Aetna Medicare |
$29.51
|
| Rate for Payer: Aetna Medicare |
$29.51
|
| Rate for Payer: BCBS Complete |
$12.00
|
| Rate for Payer: BCBS Complete |
$16.40
|
| Rate for Payer: BCBS Complete |
$37.60
|
| Rate for Payer: BCBS MAPPO |
$29.51
|
| Rate for Payer: BCBS MAPPO |
$29.51
|
| Rate for Payer: BCBS MAPPO |
$29.51
|
| Rate for Payer: BCN Medicare Advantage |
$29.51
|
| Rate for Payer: BCN Medicare Advantage |
$29.51
|
| Rate for Payer: BCN Medicare Advantage |
$29.51
|
| Rate for Payer: Cash Price |
$75.20
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cash Price |
$75.20
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cofinity Commercial |
$39.54
|
| Rate for Payer: Cofinity Commercial |
$42.49
|
| Rate for Payer: Cofinity Commercial |
$42.49
|
| Rate for Payer: Cofinity Commercial |
$39.54
|
| Rate for Payer: Cofinity Commercial |
$42.49
|
| Rate for Payer: Cofinity Commercial |
$39.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.51
|
| Rate for Payer: Healthscope Commercial |
$35.41
|
| Rate for Payer: Healthscope Commercial |
$35.41
|
| Rate for Payer: Healthscope Commercial |
$35.41
|
| Rate for Payer: Healthscope Whirlpool |
$35.41
|
| Rate for Payer: Healthscope Whirlpool |
$35.41
|
| Rate for Payer: Healthscope Whirlpool |
$35.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.99
|
| Rate for Payer: Nomi Health Commercial |
$35.41
|
| Rate for Payer: Nomi Health Commercial |
$35.41
|
| Rate for Payer: Nomi Health Commercial |
$35.41
|
| Rate for Payer: PACE SWMI |
$29.51
|
| Rate for Payer: PACE SWMI |
$29.51
|
| Rate for Payer: PACE SWMI |
$29.51
|
| Rate for Payer: PHP Medicare Advantage |
$29.51
|
| Rate for Payer: PHP Medicare Advantage |
$29.51
|
| Rate for Payer: PHP Medicare Advantage |
$29.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$61.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.65
|
| Rate for Payer: Priority Health Medicare |
$29.51
|
| Rate for Payer: Priority Health Medicare |
$29.51
|
| Rate for Payer: Priority Health Medicare |
$29.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.51
|
| Rate for Payer: UHC Medicare Advantage |
$29.51
|
| Rate for Payer: UHC Medicare Advantage |
$29.51
|
| Rate for Payer: UHC Medicare Advantage |
$29.51
|
| Rate for Payer: UHCCP DNSP |
$29.51
|
| Rate for Payer: UHCCP DNSP |
$29.51
|
| Rate for Payer: UHCCP DNSP |
$29.51
|
|
|
CHG RADEX ELBOW 2 VIEWS
|
Professional
|
Both
|
$40.00
|
|
|
Service Code
|
HCPCS 73070
|
| Min. Negotiated Rate |
$16.00 |
| Max. Negotiated Rate |
$38.25 |
| Rate for Payer: Aetna Commercial |
$35.59
|
| Rate for Payer: Aetna Commercial |
$35.59
|
| Rate for Payer: Aetna Commercial |
$35.59
|
| Rate for Payer: Aetna Medicare |
$26.56
|
| Rate for Payer: Aetna Medicare |
$26.56
|
| Rate for Payer: Aetna Medicare |
$26.56
|
| Rate for Payer: BCBS Complete |
$10.80
|
| Rate for Payer: BCBS Complete |
$16.00
|
| Rate for Payer: BCBS Complete |
$35.20
|
| Rate for Payer: BCBS MAPPO |
$26.56
|
| Rate for Payer: BCBS MAPPO |
$26.56
|
| Rate for Payer: BCBS MAPPO |
$26.56
|
| Rate for Payer: BCN Medicare Advantage |
$26.56
|
| Rate for Payer: BCN Medicare Advantage |
$26.56
|
| Rate for Payer: BCN Medicare Advantage |
$26.56
|
| Rate for Payer: Cash Price |
$70.40
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cash Price |
$70.40
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cofinity Commercial |
$35.59
|
| Rate for Payer: Cofinity Commercial |
$38.25
|
| Rate for Payer: Cofinity Commercial |
$38.25
|
| Rate for Payer: Cofinity Commercial |
$35.59
|
| Rate for Payer: Cofinity Commercial |
$38.25
|
| Rate for Payer: Cofinity Commercial |
$35.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.56
|
| Rate for Payer: Healthscope Commercial |
$31.87
|
| Rate for Payer: Healthscope Commercial |
$31.87
|
| Rate for Payer: Healthscope Commercial |
$31.87
|
| Rate for Payer: Healthscope Whirlpool |
$31.87
|
| Rate for Payer: Healthscope Whirlpool |
$31.87
|
| Rate for Payer: Healthscope Whirlpool |
$31.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.89
|
| Rate for Payer: Nomi Health Commercial |
$31.87
|
| Rate for Payer: Nomi Health Commercial |
$31.87
|
| Rate for Payer: Nomi Health Commercial |
$31.87
|
| Rate for Payer: PACE SWMI |
$26.56
|
| Rate for Payer: PACE SWMI |
$26.56
|
| Rate for Payer: PACE SWMI |
$26.56
|
| Rate for Payer: PHP Medicare Advantage |
$26.56
|
| Rate for Payer: PHP Medicare Advantage |
$26.56
|
| Rate for Payer: PHP Medicare Advantage |
$26.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$57.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.00
|
| Rate for Payer: Priority Health Medicare |
$26.56
|
| Rate for Payer: Priority Health Medicare |
$26.56
|
| Rate for Payer: Priority Health Medicare |
$26.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.56
|
| Rate for Payer: UHC Medicare Advantage |
$26.56
|
| Rate for Payer: UHC Medicare Advantage |
$26.56
|
| Rate for Payer: UHC Medicare Advantage |
$26.56
|
| Rate for Payer: UHCCP DNSP |
$26.56
|
| Rate for Payer: UHCCP DNSP |
$26.56
|
| Rate for Payer: UHCCP DNSP |
$26.56
|
|
|
CHG RADEX ELBOW ARTHROGRAPHY RS&I
|
Professional
|
Both
|
$86.00
|
|
|
Service Code
|
HCPCS 73085
|
| Min. Negotiated Rate |
$34.40 |
| Max. Negotiated Rate |
$127.48 |
| Rate for Payer: Aetna Commercial |
$118.63
|
| Rate for Payer: Aetna Medicare |
$88.53
|
| Rate for Payer: BCBS Complete |
$34.40
|
| Rate for Payer: BCBS MAPPO |
$88.53
|
| Rate for Payer: BCN Medicare Advantage |
$88.53
|
| Rate for Payer: Cash Price |
$68.80
|
| Rate for Payer: Cash Price |
$68.80
|
| Rate for Payer: Cofinity Commercial |
$127.48
|
| Rate for Payer: Cofinity Commercial |
$118.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$88.53
|
| Rate for Payer: Healthscope Commercial |
$106.24
|
| Rate for Payer: Healthscope Whirlpool |
$106.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$92.96
|
| Rate for Payer: Nomi Health Commercial |
$106.24
|
| Rate for Payer: PACE SWMI |
$88.53
|
| Rate for Payer: PHP Medicare Advantage |
$88.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$55.90
|
| Rate for Payer: Priority Health Medicare |
$88.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$88.53
|
| Rate for Payer: UHC Medicare Advantage |
$88.53
|
| Rate for Payer: UHCCP DNSP |
$88.53
|
|
|
CHG RADEX ELBOW COMPLETE MINIMUM 3 VIEWS
|
Professional
|
Both
|
$101.00
|
|
|
Service Code
|
HCPCS 73080
|
| Min. Negotiated Rate |
$29.54 |
| Max. Negotiated Rate |
$65.65 |
| Rate for Payer: Aetna Commercial |
$39.58
|
| Rate for Payer: Aetna Commercial |
$39.58
|
| Rate for Payer: Aetna Commercial |
$39.58
|
| Rate for Payer: Aetna Medicare |
$29.54
|
| Rate for Payer: Aetna Medicare |
$29.54
|
| Rate for Payer: Aetna Medicare |
$29.54
|
| Rate for Payer: BCBS Complete |
$19.20
|
| Rate for Payer: BCBS Complete |
$40.40
|
| Rate for Payer: BCBS Complete |
$13.20
|
| Rate for Payer: BCBS MAPPO |
$29.54
|
| Rate for Payer: BCBS MAPPO |
$29.54
|
| Rate for Payer: BCBS MAPPO |
$29.54
|
| Rate for Payer: BCN Medicare Advantage |
$29.54
|
| Rate for Payer: BCN Medicare Advantage |
$29.54
|
| Rate for Payer: BCN Medicare Advantage |
$29.54
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cash Price |
$80.80
|
| Rate for Payer: Cash Price |
$80.80
|
| Rate for Payer: Cash Price |
$26.40
|
| Rate for Payer: Cash Price |
$26.40
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cofinity Commercial |
$42.54
|
| Rate for Payer: Cofinity Commercial |
$39.58
|
| Rate for Payer: Cofinity Commercial |
$42.54
|
| Rate for Payer: Cofinity Commercial |
$42.54
|
| Rate for Payer: Cofinity Commercial |
$39.58
|
| Rate for Payer: Cofinity Commercial |
$39.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.54
|
| Rate for Payer: Healthscope Commercial |
$35.45
|
| Rate for Payer: Healthscope Commercial |
$35.45
|
| Rate for Payer: Healthscope Commercial |
$35.45
|
| Rate for Payer: Healthscope Whirlpool |
$35.45
|
| Rate for Payer: Healthscope Whirlpool |
$35.45
|
| Rate for Payer: Healthscope Whirlpool |
$35.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.02
|
| Rate for Payer: Nomi Health Commercial |
$35.45
|
| Rate for Payer: Nomi Health Commercial |
$35.45
|
| Rate for Payer: Nomi Health Commercial |
$35.45
|
| Rate for Payer: PACE SWMI |
$29.54
|
| Rate for Payer: PACE SWMI |
$29.54
|
| Rate for Payer: PACE SWMI |
$29.54
|
| Rate for Payer: PHP Medicare Advantage |
$29.54
|
| Rate for Payer: PHP Medicare Advantage |
$29.54
|
| Rate for Payer: PHP Medicare Advantage |
$29.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$65.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.20
|
| Rate for Payer: Priority Health Medicare |
$29.54
|
| Rate for Payer: Priority Health Medicare |
$29.54
|
| Rate for Payer: Priority Health Medicare |
$29.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.54
|
| Rate for Payer: UHC Medicare Advantage |
$29.54
|
| Rate for Payer: UHC Medicare Advantage |
$29.54
|
| Rate for Payer: UHC Medicare Advantage |
$29.54
|
| Rate for Payer: UHCCP DNSP |
$29.54
|
| Rate for Payer: UHCCP DNSP |
$29.54
|
| Rate for Payer: UHCCP DNSP |
$29.54
|
|
|
CHG RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW
|
Professional
|
Both
|
$92.00
|
|
|
Service Code
|
HCPCS 72081
|
| Min. Negotiated Rate |
$36.80 |
| Max. Negotiated Rate |
$59.80 |
| Rate for Payer: Aetna Commercial |
$52.17
|
| Rate for Payer: Aetna Medicare |
$38.93
|
| Rate for Payer: BCBS Complete |
$36.80
|
| Rate for Payer: BCBS MAPPO |
$38.93
|
| Rate for Payer: BCN Medicare Advantage |
$38.93
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Cofinity Commercial |
$56.06
|
| Rate for Payer: Cofinity Commercial |
$52.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38.93
|
| Rate for Payer: Healthscope Commercial |
$46.72
|
| Rate for Payer: Healthscope Whirlpool |
$46.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40.88
|
| Rate for Payer: Nomi Health Commercial |
$46.72
|
| Rate for Payer: PACE SWMI |
$38.93
|
| Rate for Payer: PHP Medicare Advantage |
$38.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.80
|
| Rate for Payer: Priority Health Medicare |
$38.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$38.93
|
| Rate for Payer: UHC Medicare Advantage |
$38.93
|
| Rate for Payer: UHCCP DNSP |
$38.93
|
|
|
CHG RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW
|
Professional
|
Both
|
$33.00
|
|
|
Service Code
|
HCPCS 72082
|
| Min. Negotiated Rate |
$13.20 |
| Max. Negotiated Rate |
$91.18 |
| Rate for Payer: Aetna Commercial |
$84.85
|
| Rate for Payer: Aetna Medicare |
$63.32
|
| Rate for Payer: BCBS Complete |
$13.20
|
| Rate for Payer: BCBS MAPPO |
$63.32
|
| Rate for Payer: BCN Medicare Advantage |
$63.32
|
| Rate for Payer: Cash Price |
$26.40
|
| Rate for Payer: Cash Price |
$26.40
|
| Rate for Payer: Cofinity Commercial |
$91.18
|
| Rate for Payer: Cofinity Commercial |
$84.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$63.32
|
| Rate for Payer: Healthscope Commercial |
$75.98
|
| Rate for Payer: Healthscope Whirlpool |
$75.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$66.49
|
| Rate for Payer: Nomi Health Commercial |
$75.98
|
| Rate for Payer: PACE SWMI |
$63.32
|
| Rate for Payer: PHP Medicare Advantage |
$63.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.45
|
| Rate for Payer: Priority Health Medicare |
$63.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$63.32
|
| Rate for Payer: UHC Medicare Advantage |
$63.32
|
| Rate for Payer: UHCCP DNSP |
$63.32
|
|
|
CHG RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW
|
Professional
|
Both
|
$37.00
|
|
|
Service Code
|
HCPCS 72083
|
| Min. Negotiated Rate |
$14.80 |
| Max. Negotiated Rate |
$103.65 |
| Rate for Payer: Aetna Commercial |
$96.45
|
| Rate for Payer: Aetna Medicare |
$71.98
|
| Rate for Payer: BCBS Complete |
$14.80
|
| Rate for Payer: BCBS MAPPO |
$71.98
|
| Rate for Payer: BCN Medicare Advantage |
$71.98
|
| Rate for Payer: Cash Price |
$29.60
|
| Rate for Payer: Cash Price |
$29.60
|
| Rate for Payer: Cofinity Commercial |
$96.45
|
| Rate for Payer: Cofinity Commercial |
$103.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$71.98
|
| Rate for Payer: Healthscope Commercial |
$86.38
|
| Rate for Payer: Healthscope Whirlpool |
$86.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$75.58
|
| Rate for Payer: Nomi Health Commercial |
$86.38
|
| Rate for Payer: PACE SWMI |
$71.98
|
| Rate for Payer: PHP Medicare Advantage |
$71.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.05
|
| Rate for Payer: Priority Health Medicare |
$71.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$71.98
|
| Rate for Payer: UHC Medicare Advantage |
$71.98
|
| Rate for Payer: UHCCP DNSP |
$71.98
|
|
|
CHG RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW
|
Professional
|
Both
|
$43.00
|
|
|
Service Code
|
HCPCS 72084
|
| Min. Negotiated Rate |
$17.20 |
| Max. Negotiated Rate |
$127.37 |
| Rate for Payer: Aetna Commercial |
$118.52
|
| Rate for Payer: Aetna Medicare |
$88.45
|
| Rate for Payer: BCBS Complete |
$17.20
|
| Rate for Payer: BCBS MAPPO |
$88.45
|
| Rate for Payer: BCN Medicare Advantage |
$88.45
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cofinity Commercial |
$127.37
|
| Rate for Payer: Cofinity Commercial |
$118.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$88.45
|
| Rate for Payer: Healthscope Commercial |
$106.14
|
| Rate for Payer: Healthscope Whirlpool |
$106.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$92.87
|
| Rate for Payer: Nomi Health Commercial |
$106.14
|
| Rate for Payer: PACE SWMI |
$88.45
|
| Rate for Payer: PHP Medicare Advantage |
$88.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.95
|
| Rate for Payer: Priority Health Medicare |
$88.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$88.45
|
| Rate for Payer: UHC Medicare Advantage |
$88.45
|
| Rate for Payer: UHCCP DNSP |
$88.45
|
|
|
CHG RADEX FACIAL BONES < 3 VIEWS
|
Professional
|
Both
|
$18.00
|
|
|
Service Code
|
HCPCS 70140
|
| Min. Negotiated Rate |
$7.20 |
| Max. Negotiated Rate |
$41.77 |
| Rate for Payer: Aetna Commercial |
$38.87
|
| Rate for Payer: Aetna Medicare |
$29.01
|
| Rate for Payer: BCBS Complete |
$7.20
|
| Rate for Payer: BCBS MAPPO |
$29.01
|
| Rate for Payer: BCN Medicare Advantage |
$29.01
|
| Rate for Payer: Cash Price |
$14.40
|
| Rate for Payer: Cash Price |
$14.40
|
| Rate for Payer: Cofinity Commercial |
$41.77
|
| Rate for Payer: Cofinity Commercial |
$38.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.01
|
| Rate for Payer: Healthscope Commercial |
$34.81
|
| Rate for Payer: Healthscope Whirlpool |
$34.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.46
|
| Rate for Payer: Nomi Health Commercial |
$34.81
|
| Rate for Payer: PACE SWMI |
$29.01
|
| Rate for Payer: PHP Medicare Advantage |
$29.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.70
|
| Rate for Payer: Priority Health Medicare |
$29.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.01
|
| Rate for Payer: UHC Medicare Advantage |
$29.01
|
| Rate for Payer: UHCCP DNSP |
$29.01
|
|
|
CHG RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS
|
Professional
|
Both
|
$26.00
|
|
|
Service Code
|
HCPCS 70150
|
| Min. Negotiated Rate |
$10.40 |
| Max. Negotiated Rate |
$60.72 |
| Rate for Payer: Aetna Commercial |
$56.51
|
| Rate for Payer: Aetna Commercial |
$56.51
|
| Rate for Payer: Aetna Commercial |
$56.51
|
| Rate for Payer: Aetna Medicare |
$42.17
|
| Rate for Payer: Aetna Medicare |
$42.17
|
| Rate for Payer: Aetna Medicare |
$42.17
|
| Rate for Payer: BCBS Complete |
$36.80
|
| Rate for Payer: BCBS Complete |
$10.40
|
| Rate for Payer: BCBS Complete |
$23.20
|
| Rate for Payer: BCBS MAPPO |
$42.17
|
| Rate for Payer: BCBS MAPPO |
$42.17
|
| Rate for Payer: BCBS MAPPO |
$42.17
|
| Rate for Payer: BCN Medicare Advantage |
$42.17
|
| Rate for Payer: BCN Medicare Advantage |
$42.17
|
| Rate for Payer: BCN Medicare Advantage |
$42.17
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Cash Price |
$46.40
|
| Rate for Payer: Cash Price |
$46.40
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Cofinity Commercial |
$60.72
|
| Rate for Payer: Cofinity Commercial |
$56.51
|
| Rate for Payer: Cofinity Commercial |
$60.72
|
| Rate for Payer: Cofinity Commercial |
$60.72
|
| Rate for Payer: Cofinity Commercial |
$56.51
|
| Rate for Payer: Cofinity Commercial |
$56.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42.17
|
| Rate for Payer: Healthscope Commercial |
$50.60
|
| Rate for Payer: Healthscope Commercial |
$50.60
|
| Rate for Payer: Healthscope Commercial |
$50.60
|
| Rate for Payer: Healthscope Whirlpool |
$50.60
|
| Rate for Payer: Healthscope Whirlpool |
$50.60
|
| Rate for Payer: Healthscope Whirlpool |
$50.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$44.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$44.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$44.28
|
| Rate for Payer: Nomi Health Commercial |
$50.60
|
| Rate for Payer: Nomi Health Commercial |
$50.60
|
| Rate for Payer: Nomi Health Commercial |
$50.60
|
| Rate for Payer: PACE SWMI |
$42.17
|
| Rate for Payer: PACE SWMI |
$42.17
|
| Rate for Payer: PACE SWMI |
$42.17
|
| Rate for Payer: PHP Medicare Advantage |
$42.17
|
| Rate for Payer: PHP Medicare Advantage |
$42.17
|
| Rate for Payer: PHP Medicare Advantage |
$42.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.80
|
| Rate for Payer: Priority Health Medicare |
$42.17
|
| Rate for Payer: Priority Health Medicare |
$42.17
|
| Rate for Payer: Priority Health Medicare |
$42.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$42.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$42.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$42.17
|
| Rate for Payer: UHC Medicare Advantage |
$42.17
|
| Rate for Payer: UHC Medicare Advantage |
$42.17
|
| Rate for Payer: UHC Medicare Advantage |
$42.17
|
| Rate for Payer: UHCCP DNSP |
$42.17
|
| Rate for Payer: UHCCP DNSP |
$42.17
|
| Rate for Payer: UHCCP DNSP |
$42.17
|
|
|
CHG RADEX FINGR MINIMUM 2 VIEWS
|
Professional
|
Both
|
$51.00
|
|
|
Service Code
|
HCPCS 73140
|
| Min. Negotiated Rate |
$20.40 |
| Max. Negotiated Rate |
$49.58 |
| Rate for Payer: Aetna Commercial |
$46.14
|
| Rate for Payer: Aetna Commercial |
$46.14
|
| Rate for Payer: Aetna Commercial |
$46.14
|
| Rate for Payer: Aetna Medicare |
$34.43
|
| Rate for Payer: Aetna Medicare |
$34.43
|
| Rate for Payer: Aetna Medicare |
$34.43
|
| Rate for Payer: BCBS Complete |
$8.80
|
| Rate for Payer: BCBS Complete |
$20.40
|
| Rate for Payer: BCBS Complete |
$32.40
|
| Rate for Payer: BCBS MAPPO |
$34.43
|
| Rate for Payer: BCBS MAPPO |
$34.43
|
| Rate for Payer: BCBS MAPPO |
$34.43
|
| Rate for Payer: BCN Medicare Advantage |
$34.43
|
| Rate for Payer: BCN Medicare Advantage |
$34.43
|
| Rate for Payer: BCN Medicare Advantage |
$34.43
|
| Rate for Payer: Cash Price |
$64.80
|
| Rate for Payer: Cash Price |
$17.60
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cash Price |
$17.60
|
| Rate for Payer: Cash Price |
$64.80
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cofinity Commercial |
$46.14
|
| Rate for Payer: Cofinity Commercial |
$49.58
|
| Rate for Payer: Cofinity Commercial |
$49.58
|
| Rate for Payer: Cofinity Commercial |
$46.14
|
| Rate for Payer: Cofinity Commercial |
$49.58
|
| Rate for Payer: Cofinity Commercial |
$46.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.43
|
| Rate for Payer: Healthscope Commercial |
$41.32
|
| Rate for Payer: Healthscope Commercial |
$41.32
|
| Rate for Payer: Healthscope Commercial |
$41.32
|
| Rate for Payer: Healthscope Whirlpool |
$41.32
|
| Rate for Payer: Healthscope Whirlpool |
$41.32
|
| Rate for Payer: Healthscope Whirlpool |
$41.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.15
|
| Rate for Payer: Nomi Health Commercial |
$41.32
|
| Rate for Payer: Nomi Health Commercial |
$41.32
|
| Rate for Payer: Nomi Health Commercial |
$41.32
|
| Rate for Payer: PACE SWMI |
$34.43
|
| Rate for Payer: PACE SWMI |
$34.43
|
| Rate for Payer: PACE SWMI |
$34.43
|
| Rate for Payer: PHP Medicare Advantage |
$34.43
|
| Rate for Payer: PHP Medicare Advantage |
$34.43
|
| Rate for Payer: PHP Medicare Advantage |
$34.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.15
|
| Rate for Payer: Priority Health Medicare |
$34.43
|
| Rate for Payer: Priority Health Medicare |
$34.43
|
| Rate for Payer: Priority Health Medicare |
$34.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$34.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$34.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$34.43
|
| Rate for Payer: UHC Medicare Advantage |
$34.43
|
| Rate for Payer: UHC Medicare Advantage |
$34.43
|
| Rate for Payer: UHC Medicare Advantage |
$34.43
|
| Rate for Payer: UHCCP DNSP |
$34.43
|
| Rate for Payer: UHCCP DNSP |
$34.43
|
| Rate for Payer: UHCCP DNSP |
$34.43
|
|
|
CHG RADEX FOOT COMPLETE MINIMUM 3 VIEWS
|
Professional
|
Both
|
$45.00
|
|
|
Service Code
|
HCPCS 73630
|
| Min. Negotiated Rate |
$18.00 |
| Max. Negotiated Rate |
$44.24 |
| Rate for Payer: Aetna Commercial |
$41.16
|
| Rate for Payer: Aetna Commercial |
$41.16
|
| Rate for Payer: Aetna Commercial |
$41.16
|
| Rate for Payer: Aetna Medicare |
$30.72
|
| Rate for Payer: Aetna Medicare |
$30.72
|
| Rate for Payer: Aetna Medicare |
$30.72
|
| Rate for Payer: BCBS Complete |
$12.00
|
| Rate for Payer: BCBS Complete |
$18.00
|
| Rate for Payer: BCBS Complete |
$34.80
|
| Rate for Payer: BCBS MAPPO |
$30.72
|
| Rate for Payer: BCBS MAPPO |
$30.72
|
| Rate for Payer: BCBS MAPPO |
$30.72
|
| Rate for Payer: BCN Medicare Advantage |
$30.72
|
| Rate for Payer: BCN Medicare Advantage |
$30.72
|
| Rate for Payer: BCN Medicare Advantage |
$30.72
|
| Rate for Payer: Cash Price |
$69.60
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cash Price |
$69.60
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cofinity Commercial |
$41.16
|
| Rate for Payer: Cofinity Commercial |
$44.24
|
| Rate for Payer: Cofinity Commercial |
$44.24
|
| Rate for Payer: Cofinity Commercial |
$41.16
|
| Rate for Payer: Cofinity Commercial |
$44.24
|
| Rate for Payer: Cofinity Commercial |
$41.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.72
|
| Rate for Payer: Healthscope Commercial |
$36.86
|
| Rate for Payer: Healthscope Commercial |
$36.86
|
| Rate for Payer: Healthscope Commercial |
$36.86
|
| Rate for Payer: Healthscope Whirlpool |
$36.86
|
| Rate for Payer: Healthscope Whirlpool |
$36.86
|
| Rate for Payer: Healthscope Whirlpool |
$36.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.26
|
| Rate for Payer: Nomi Health Commercial |
$36.86
|
| Rate for Payer: Nomi Health Commercial |
$36.86
|
| Rate for Payer: Nomi Health Commercial |
$36.86
|
| Rate for Payer: PACE SWMI |
$30.72
|
| Rate for Payer: PACE SWMI |
$30.72
|
| Rate for Payer: PACE SWMI |
$30.72
|
| Rate for Payer: PHP Medicare Advantage |
$30.72
|
| Rate for Payer: PHP Medicare Advantage |
$30.72
|
| Rate for Payer: PHP Medicare Advantage |
$30.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$56.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.25
|
| Rate for Payer: Priority Health Medicare |
$30.72
|
| Rate for Payer: Priority Health Medicare |
$30.72
|
| Rate for Payer: Priority Health Medicare |
$30.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.72
|
| Rate for Payer: UHC Medicare Advantage |
$30.72
|
| Rate for Payer: UHC Medicare Advantage |
$30.72
|
| Rate for Payer: UHC Medicare Advantage |
$30.72
|
| Rate for Payer: UHCCP DNSP |
$30.72
|
| Rate for Payer: UHCCP DNSP |
$30.72
|
| Rate for Payer: UHCCP DNSP |
$30.72
|
|
|
CHG RADEX FOREARM 2 VIEWS
|
Professional
|
Both
|
$39.00
|
|
|
Service Code
|
HCPCS 73090
|
| Min. Negotiated Rate |
$15.60 |
| Max. Negotiated Rate |
$38.25 |
| Rate for Payer: Aetna Commercial |
$35.59
|
| Rate for Payer: Aetna Commercial |
$35.59
|
| Rate for Payer: Aetna Commercial |
$35.59
|
| Rate for Payer: Aetna Medicare |
$26.56
|
| Rate for Payer: Aetna Medicare |
$26.56
|
| Rate for Payer: Aetna Medicare |
$26.56
|
| Rate for Payer: BCBS Complete |
$11.60
|
| Rate for Payer: BCBS Complete |
$15.60
|
| Rate for Payer: BCBS Complete |
$36.00
|
| Rate for Payer: BCBS MAPPO |
$26.56
|
| Rate for Payer: BCBS MAPPO |
$26.56
|
| Rate for Payer: BCBS MAPPO |
$26.56
|
| Rate for Payer: BCN Medicare Advantage |
$26.56
|
| Rate for Payer: BCN Medicare Advantage |
$26.56
|
| Rate for Payer: BCN Medicare Advantage |
$26.56
|
| Rate for Payer: Cash Price |
$72.00
|
| Rate for Payer: Cash Price |
$23.20
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cash Price |
$23.20
|
| Rate for Payer: Cash Price |
$72.00
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cofinity Commercial |
$35.59
|
| Rate for Payer: Cofinity Commercial |
$38.25
|
| Rate for Payer: Cofinity Commercial |
$38.25
|
| Rate for Payer: Cofinity Commercial |
$35.59
|
| Rate for Payer: Cofinity Commercial |
$38.25
|
| Rate for Payer: Cofinity Commercial |
$35.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.56
|
| Rate for Payer: Healthscope Commercial |
$31.87
|
| Rate for Payer: Healthscope Commercial |
$31.87
|
| Rate for Payer: Healthscope Commercial |
$31.87
|
| Rate for Payer: Healthscope Whirlpool |
$31.87
|
| Rate for Payer: Healthscope Whirlpool |
$31.87
|
| Rate for Payer: Healthscope Whirlpool |
$31.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.89
|
| Rate for Payer: Nomi Health Commercial |
$31.87
|
| Rate for Payer: Nomi Health Commercial |
$31.87
|
| Rate for Payer: Nomi Health Commercial |
$31.87
|
| Rate for Payer: PACE SWMI |
$26.56
|
| Rate for Payer: PACE SWMI |
$26.56
|
| Rate for Payer: PACE SWMI |
$26.56
|
| Rate for Payer: PHP Medicare Advantage |
$26.56
|
| Rate for Payer: PHP Medicare Advantage |
$26.56
|
| Rate for Payer: PHP Medicare Advantage |
$26.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$58.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$25.35
|
| Rate for Payer: Priority Health Medicare |
$26.56
|
| Rate for Payer: Priority Health Medicare |
$26.56
|
| Rate for Payer: Priority Health Medicare |
$26.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.56
|
| Rate for Payer: UHC Medicare Advantage |
$26.56
|
| Rate for Payer: UHC Medicare Advantage |
$26.56
|
| Rate for Payer: UHC Medicare Advantage |
$26.56
|
| Rate for Payer: UHCCP DNSP |
$26.56
|
| Rate for Payer: UHCCP DNSP |
$26.56
|
| Rate for Payer: UHCCP DNSP |
$26.56
|
|
|
CHG RADEX HAND 2 VIEWS
|
Professional
|
Both
|
$38.00
|
|
|
Service Code
|
HCPCS 73120
|
| Min. Negotiated Rate |
$15.20 |
| Max. Negotiated Rate |
$40.80 |
| Rate for Payer: Aetna Commercial |
$37.96
|
| Rate for Payer: Aetna Commercial |
$37.96
|
| Rate for Payer: Aetna Commercial |
$37.96
|
| Rate for Payer: Aetna Medicare |
$28.33
|
| Rate for Payer: Aetna Medicare |
$28.33
|
| Rate for Payer: Aetna Medicare |
$28.33
|
| Rate for Payer: BCBS Complete |
$10.80
|
| Rate for Payer: BCBS Complete |
$15.20
|
| Rate for Payer: BCBS Complete |
$32.80
|
| Rate for Payer: BCBS MAPPO |
$28.33
|
| Rate for Payer: BCBS MAPPO |
$28.33
|
| Rate for Payer: BCBS MAPPO |
$28.33
|
| Rate for Payer: BCN Medicare Advantage |
$28.33
|
| Rate for Payer: BCN Medicare Advantage |
$28.33
|
| Rate for Payer: BCN Medicare Advantage |
$28.33
|
| Rate for Payer: Cash Price |
$65.60
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cash Price |
$65.60
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cofinity Commercial |
$37.96
|
| Rate for Payer: Cofinity Commercial |
$40.80
|
| Rate for Payer: Cofinity Commercial |
$40.80
|
| Rate for Payer: Cofinity Commercial |
$37.96
|
| Rate for Payer: Cofinity Commercial |
$40.80
|
| Rate for Payer: Cofinity Commercial |
$37.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.33
|
| Rate for Payer: Healthscope Commercial |
$34.00
|
| Rate for Payer: Healthscope Commercial |
$34.00
|
| Rate for Payer: Healthscope Commercial |
$34.00
|
| Rate for Payer: Healthscope Whirlpool |
$34.00
|
| Rate for Payer: Healthscope Whirlpool |
$34.00
|
| Rate for Payer: Healthscope Whirlpool |
$34.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.75
|
| Rate for Payer: Nomi Health Commercial |
$34.00
|
| Rate for Payer: Nomi Health Commercial |
$34.00
|
| Rate for Payer: Nomi Health Commercial |
$34.00
|
| Rate for Payer: PACE SWMI |
$28.33
|
| Rate for Payer: PACE SWMI |
$28.33
|
| Rate for Payer: PACE SWMI |
$28.33
|
| Rate for Payer: PHP Medicare Advantage |
$28.33
|
| Rate for Payer: PHP Medicare Advantage |
$28.33
|
| Rate for Payer: PHP Medicare Advantage |
$28.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$53.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.70
|
| Rate for Payer: Priority Health Medicare |
$28.33
|
| Rate for Payer: Priority Health Medicare |
$28.33
|
| Rate for Payer: Priority Health Medicare |
$28.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.33
|
| Rate for Payer: UHC Medicare Advantage |
$28.33
|
| Rate for Payer: UHC Medicare Advantage |
$28.33
|
| Rate for Payer: UHC Medicare Advantage |
$28.33
|
| Rate for Payer: UHCCP DNSP |
$28.33
|
| Rate for Payer: UHCCP DNSP |
$28.33
|
| Rate for Payer: UHCCP DNSP |
$28.33
|
|
|
CHG RADEX HAND MINIMUM 3 VIEWS
|
Professional
|
Both
|
$47.00
|
|
|
Service Code
|
HCPCS 73130
|
| Min. Negotiated Rate |
$18.80 |
| Max. Negotiated Rate |
$48.47 |
| Rate for Payer: Aetna Commercial |
$45.10
|
| Rate for Payer: Aetna Commercial |
$45.10
|
| Rate for Payer: Aetna Commercial |
$45.10
|
| Rate for Payer: Aetna Medicare |
$33.66
|
| Rate for Payer: Aetna Medicare |
$33.66
|
| Rate for Payer: Aetna Medicare |
$33.66
|
| Rate for Payer: BCBS Complete |
$12.40
|
| Rate for Payer: BCBS Complete |
$18.80
|
| Rate for Payer: BCBS Complete |
$38.40
|
| Rate for Payer: BCBS MAPPO |
$33.66
|
| Rate for Payer: BCBS MAPPO |
$33.66
|
| Rate for Payer: BCBS MAPPO |
$33.66
|
| Rate for Payer: BCN Medicare Advantage |
$33.66
|
| Rate for Payer: BCN Medicare Advantage |
$33.66
|
| Rate for Payer: BCN Medicare Advantage |
$33.66
|
| Rate for Payer: Cash Price |
$76.80
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$76.80
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Cofinity Commercial |
$45.10
|
| Rate for Payer: Cofinity Commercial |
$48.47
|
| Rate for Payer: Cofinity Commercial |
$48.47
|
| Rate for Payer: Cofinity Commercial |
$45.10
|
| Rate for Payer: Cofinity Commercial |
$48.47
|
| Rate for Payer: Cofinity Commercial |
$45.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.66
|
| Rate for Payer: Healthscope Commercial |
$40.39
|
| Rate for Payer: Healthscope Commercial |
$40.39
|
| Rate for Payer: Healthscope Commercial |
$40.39
|
| Rate for Payer: Healthscope Whirlpool |
$40.39
|
| Rate for Payer: Healthscope Whirlpool |
$40.39
|
| Rate for Payer: Healthscope Whirlpool |
$40.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.34
|
| Rate for Payer: Nomi Health Commercial |
$40.39
|
| Rate for Payer: Nomi Health Commercial |
$40.39
|
| Rate for Payer: Nomi Health Commercial |
$40.39
|
| Rate for Payer: PACE SWMI |
$33.66
|
| Rate for Payer: PACE SWMI |
$33.66
|
| Rate for Payer: PACE SWMI |
$33.66
|
| Rate for Payer: PHP Medicare Advantage |
$33.66
|
| Rate for Payer: PHP Medicare Advantage |
$33.66
|
| Rate for Payer: PHP Medicare Advantage |
$33.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$62.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.55
|
| Rate for Payer: Priority Health Medicare |
$33.66
|
| Rate for Payer: Priority Health Medicare |
$33.66
|
| Rate for Payer: Priority Health Medicare |
$33.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$33.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$33.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$33.66
|
| Rate for Payer: UHC Medicare Advantage |
$33.66
|
| Rate for Payer: UHC Medicare Advantage |
$33.66
|
| Rate for Payer: UHC Medicare Advantage |
$33.66
|
| Rate for Payer: UHCCP DNSP |
$33.66
|
| Rate for Payer: UHCCP DNSP |
$33.66
|
| Rate for Payer: UHCCP DNSP |
$33.66
|
|
|
CHG RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS
|
Professional
|
Both
|
$23.00
|
|
|
Service Code
|
HCPCS 73521
|
| Min. Negotiated Rate |
$9.20 |
| Max. Negotiated Rate |
$53.77 |
| Rate for Payer: Aetna Commercial |
$50.04
|
| Rate for Payer: Aetna Commercial |
$50.04
|
| Rate for Payer: Aetna Medicare |
$37.34
|
| Rate for Payer: Aetna Medicare |
$37.34
|
| Rate for Payer: BCBS Complete |
$30.80
|
| Rate for Payer: BCBS Complete |
$9.20
|
| Rate for Payer: BCBS MAPPO |
$37.34
|
| Rate for Payer: BCBS MAPPO |
$37.34
|
| Rate for Payer: BCN Medicare Advantage |
$37.34
|
| Rate for Payer: BCN Medicare Advantage |
$37.34
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Cofinity Commercial |
$50.04
|
| Rate for Payer: Cofinity Commercial |
$53.77
|
| Rate for Payer: Cofinity Commercial |
$50.04
|
| Rate for Payer: Cofinity Commercial |
$53.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.34
|
| Rate for Payer: Healthscope Commercial |
$44.81
|
| Rate for Payer: Healthscope Commercial |
$44.81
|
| Rate for Payer: Healthscope Whirlpool |
$44.81
|
| Rate for Payer: Healthscope Whirlpool |
$44.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.21
|
| Rate for Payer: Nomi Health Commercial |
$44.81
|
| Rate for Payer: Nomi Health Commercial |
$44.81
|
| Rate for Payer: PACE SWMI |
$37.34
|
| Rate for Payer: PACE SWMI |
$37.34
|
| Rate for Payer: PHP Medicare Advantage |
$37.34
|
| Rate for Payer: PHP Medicare Advantage |
$37.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.95
|
| Rate for Payer: Priority Health Medicare |
$37.34
|
| Rate for Payer: Priority Health Medicare |
$37.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$37.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$37.34
|
| Rate for Payer: UHC Medicare Advantage |
$37.34
|
| Rate for Payer: UHC Medicare Advantage |
$37.34
|
| Rate for Payer: UHCCP DNSP |
$37.34
|
| Rate for Payer: UHCCP DNSP |
$37.34
|
|
|
CHG RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS
|
Professional
|
Both
|
$31.00
|
|
|
Service Code
|
HCPCS 73522
|
| Min. Negotiated Rate |
$12.40 |
| Max. Negotiated Rate |
$70.19 |
| Rate for Payer: Aetna Commercial |
$65.31
|
| Rate for Payer: Aetna Commercial |
$65.31
|
| Rate for Payer: Aetna Commercial |
$65.31
|
| Rate for Payer: Aetna Medicare |
$48.74
|
| Rate for Payer: Aetna Medicare |
$48.74
|
| Rate for Payer: Aetna Medicare |
$48.74
|
| Rate for Payer: BCBS Complete |
$46.80
|
| Rate for Payer: BCBS Complete |
$12.40
|
| Rate for Payer: BCBS Complete |
$25.20
|
| Rate for Payer: BCBS MAPPO |
$48.74
|
| Rate for Payer: BCBS MAPPO |
$48.74
|
| Rate for Payer: BCBS MAPPO |
$48.74
|
| Rate for Payer: BCN Medicare Advantage |
$48.74
|
| Rate for Payer: BCN Medicare Advantage |
$48.74
|
| Rate for Payer: BCN Medicare Advantage |
$48.74
|
| Rate for Payer: Cash Price |
$50.40
|
| Rate for Payer: Cash Price |
$93.60
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$93.60
|
| Rate for Payer: Cash Price |
$50.40
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cofinity Commercial |
$65.31
|
| Rate for Payer: Cofinity Commercial |
$70.19
|
| Rate for Payer: Cofinity Commercial |
$70.19
|
| Rate for Payer: Cofinity Commercial |
$65.31
|
| Rate for Payer: Cofinity Commercial |
$70.19
|
| Rate for Payer: Cofinity Commercial |
$65.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$48.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$48.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$48.74
|
| Rate for Payer: Healthscope Commercial |
$58.49
|
| Rate for Payer: Healthscope Commercial |
$58.49
|
| Rate for Payer: Healthscope Commercial |
$58.49
|
| Rate for Payer: Healthscope Whirlpool |
$58.49
|
| Rate for Payer: Healthscope Whirlpool |
$58.49
|
| Rate for Payer: Healthscope Whirlpool |
$58.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$51.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$51.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$51.18
|
| Rate for Payer: Nomi Health Commercial |
$58.49
|
| Rate for Payer: Nomi Health Commercial |
$58.49
|
| Rate for Payer: Nomi Health Commercial |
$58.49
|
| Rate for Payer: PACE SWMI |
$48.74
|
| Rate for Payer: PACE SWMI |
$48.74
|
| Rate for Payer: PACE SWMI |
$48.74
|
| Rate for Payer: PHP Medicare Advantage |
$48.74
|
| Rate for Payer: PHP Medicare Advantage |
$48.74
|
| Rate for Payer: PHP Medicare Advantage |
$48.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$40.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$76.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.15
|
| Rate for Payer: Priority Health Medicare |
$48.74
|
| Rate for Payer: Priority Health Medicare |
$48.74
|
| Rate for Payer: Priority Health Medicare |
$48.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$48.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$48.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$48.74
|
| Rate for Payer: UHC Medicare Advantage |
$48.74
|
| Rate for Payer: UHC Medicare Advantage |
$48.74
|
| Rate for Payer: UHC Medicare Advantage |
$48.74
|
| Rate for Payer: UHCCP DNSP |
$48.74
|
| Rate for Payer: UHCCP DNSP |
$48.74
|
| Rate for Payer: UHCCP DNSP |
$48.74
|
|
|
CHG RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS
|
Professional
|
Both
|
$114.00
|
|
|
Service Code
|
HCPCS 73523
|
| Min. Negotiated Rate |
$45.60 |
| Max. Negotiated Rate |
$80.58 |
| Rate for Payer: Aetna Commercial |
$74.99
|
| Rate for Payer: Aetna Commercial |
$74.99
|
| Rate for Payer: Aetna Medicare |
$55.96
|
| Rate for Payer: Aetna Medicare |
$55.96
|
| Rate for Payer: BCBS Complete |
$10.40
|
| Rate for Payer: BCBS Complete |
$45.60
|
| Rate for Payer: BCBS MAPPO |
$55.96
|
| Rate for Payer: BCBS MAPPO |
$55.96
|
| Rate for Payer: BCN Medicare Advantage |
$55.96
|
| Rate for Payer: BCN Medicare Advantage |
$55.96
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Cofinity Commercial |
$74.99
|
| Rate for Payer: Cofinity Commercial |
$80.58
|
| Rate for Payer: Cofinity Commercial |
$74.99
|
| Rate for Payer: Cofinity Commercial |
$80.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$55.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$55.96
|
| Rate for Payer: Healthscope Commercial |
$67.15
|
| Rate for Payer: Healthscope Commercial |
$67.15
|
| Rate for Payer: Healthscope Whirlpool |
$67.15
|
| Rate for Payer: Healthscope Whirlpool |
$67.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$58.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$58.76
|
| Rate for Payer: Nomi Health Commercial |
$67.15
|
| Rate for Payer: Nomi Health Commercial |
$67.15
|
| Rate for Payer: PACE SWMI |
$55.96
|
| Rate for Payer: PACE SWMI |
$55.96
|
| Rate for Payer: PHP Medicare Advantage |
$55.96
|
| Rate for Payer: PHP Medicare Advantage |
$55.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$74.10
|
| Rate for Payer: Priority Health Medicare |
$55.96
|
| Rate for Payer: Priority Health Medicare |
$55.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$55.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$55.96
|
| Rate for Payer: UHC Medicare Advantage |
$55.96
|
| Rate for Payer: UHC Medicare Advantage |
$55.96
|
| Rate for Payer: UHCCP DNSP |
$55.96
|
| Rate for Payer: UHCCP DNSP |
$55.96
|
|
|
CHG RADEX HIP UNILATERAL WITH PELVIS 1 VIEW
|
Professional
|
Both
|
$19.00
|
|
|
Service Code
|
HCPCS 73501
|
| Min. Negotiated Rate |
$7.60 |
| Max. Negotiated Rate |
$43.43 |
| Rate for Payer: Aetna Commercial |
$40.41
|
| Rate for Payer: Aetna Commercial |
$40.41
|
| Rate for Payer: Aetna Medicare |
$30.16
|
| Rate for Payer: Aetna Medicare |
$30.16
|
| Rate for Payer: BCBS Complete |
$22.80
|
| Rate for Payer: BCBS Complete |
$7.60
|
| Rate for Payer: BCBS MAPPO |
$30.16
|
| Rate for Payer: BCBS MAPPO |
$30.16
|
| Rate for Payer: BCN Medicare Advantage |
$30.16
|
| Rate for Payer: BCN Medicare Advantage |
$30.16
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Cash Price |
$15.20
|
| Rate for Payer: Cash Price |
$15.20
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Cofinity Commercial |
$40.41
|
| Rate for Payer: Cofinity Commercial |
$43.43
|
| Rate for Payer: Cofinity Commercial |
$40.41
|
| Rate for Payer: Cofinity Commercial |
$43.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.16
|
| Rate for Payer: Healthscope Commercial |
$36.19
|
| Rate for Payer: Healthscope Commercial |
$36.19
|
| Rate for Payer: Healthscope Whirlpool |
$36.19
|
| Rate for Payer: Healthscope Whirlpool |
$36.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.67
|
| Rate for Payer: Nomi Health Commercial |
$36.19
|
| Rate for Payer: Nomi Health Commercial |
$36.19
|
| Rate for Payer: PACE SWMI |
$30.16
|
| Rate for Payer: PACE SWMI |
$30.16
|
| Rate for Payer: PHP Medicare Advantage |
$30.16
|
| Rate for Payer: PHP Medicare Advantage |
$30.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.35
|
| Rate for Payer: Priority Health Medicare |
$30.16
|
| Rate for Payer: Priority Health Medicare |
$30.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.16
|
| Rate for Payer: UHC Medicare Advantage |
$30.16
|
| Rate for Payer: UHC Medicare Advantage |
$30.16
|
| Rate for Payer: UHCCP DNSP |
$30.16
|
| Rate for Payer: UHCCP DNSP |
$30.16
|
|
|
CHG RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS
|
Professional
|
Both
|
$22.00
|
|
|
Service Code
|
HCPCS 73502
|
| Min. Negotiated Rate |
$8.80 |
| Max. Negotiated Rate |
$61.83 |
| Rate for Payer: Aetna Commercial |
$57.54
|
| Rate for Payer: Aetna Commercial |
$57.54
|
| Rate for Payer: Aetna Medicare |
$42.94
|
| Rate for Payer: Aetna Medicare |
$42.94
|
| Rate for Payer: BCBS Complete |
$32.00
|
| Rate for Payer: BCBS Complete |
$8.80
|
| Rate for Payer: BCBS MAPPO |
$42.94
|
| Rate for Payer: BCBS MAPPO |
$42.94
|
| Rate for Payer: BCN Medicare Advantage |
$42.94
|
| Rate for Payer: BCN Medicare Advantage |
$42.94
|
| Rate for Payer: Cash Price |
$64.00
|
| Rate for Payer: Cash Price |
$17.60
|
| Rate for Payer: Cash Price |
$17.60
|
| Rate for Payer: Cash Price |
$64.00
|
| Rate for Payer: Cofinity Commercial |
$57.54
|
| Rate for Payer: Cofinity Commercial |
$61.83
|
| Rate for Payer: Cofinity Commercial |
$57.54
|
| Rate for Payer: Cofinity Commercial |
$61.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42.94
|
| Rate for Payer: Healthscope Commercial |
$51.53
|
| Rate for Payer: Healthscope Commercial |
$51.53
|
| Rate for Payer: Healthscope Whirlpool |
$51.53
|
| Rate for Payer: Healthscope Whirlpool |
$51.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$45.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$45.09
|
| Rate for Payer: Nomi Health Commercial |
$51.53
|
| Rate for Payer: Nomi Health Commercial |
$51.53
|
| Rate for Payer: PACE SWMI |
$42.94
|
| Rate for Payer: PACE SWMI |
$42.94
|
| Rate for Payer: PHP Medicare Advantage |
$42.94
|
| Rate for Payer: PHP Medicare Advantage |
$42.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.30
|
| Rate for Payer: Priority Health Medicare |
$42.94
|
| Rate for Payer: Priority Health Medicare |
$42.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$42.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$42.94
|
| Rate for Payer: UHC Medicare Advantage |
$42.94
|
| Rate for Payer: UHC Medicare Advantage |
$42.94
|
| Rate for Payer: UHCCP DNSP |
$42.94
|
| Rate for Payer: UHCCP DNSP |
$42.94
|
|
|
CHG RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS
|
Professional
|
Both
|
$124.00
|
|
|
Service Code
|
HCPCS 73503
|
| Min. Negotiated Rate |
$49.60 |
| Max. Negotiated Rate |
$80.60 |
| Rate for Payer: Aetna Commercial |
$73.24
|
| Rate for Payer: Aetna Commercial |
$73.24
|
| Rate for Payer: Aetna Medicare |
$54.66
|
| Rate for Payer: Aetna Medicare |
$54.66
|
| Rate for Payer: BCBS Complete |
$11.20
|
| Rate for Payer: BCBS Complete |
$49.60
|
| Rate for Payer: BCBS MAPPO |
$54.66
|
| Rate for Payer: BCBS MAPPO |
$54.66
|
| Rate for Payer: BCN Medicare Advantage |
$54.66
|
| Rate for Payer: BCN Medicare Advantage |
$54.66
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cash Price |
$99.20
|
| Rate for Payer: Cash Price |
$99.20
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cofinity Commercial |
$73.24
|
| Rate for Payer: Cofinity Commercial |
$78.71
|
| Rate for Payer: Cofinity Commercial |
$73.24
|
| Rate for Payer: Cofinity Commercial |
$78.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$54.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$54.66
|
| Rate for Payer: Healthscope Commercial |
$65.59
|
| Rate for Payer: Healthscope Commercial |
$65.59
|
| Rate for Payer: Healthscope Whirlpool |
$65.59
|
| Rate for Payer: Healthscope Whirlpool |
$65.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$57.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$57.39
|
| Rate for Payer: Nomi Health Commercial |
$65.59
|
| Rate for Payer: Nomi Health Commercial |
$65.59
|
| Rate for Payer: PACE SWMI |
$54.66
|
| Rate for Payer: PACE SWMI |
$54.66
|
| Rate for Payer: PHP Medicare Advantage |
$54.66
|
| Rate for Payer: PHP Medicare Advantage |
$54.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$80.60
|
| Rate for Payer: Priority Health Medicare |
$54.66
|
| Rate for Payer: Priority Health Medicare |
$54.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$54.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$54.66
|
| Rate for Payer: UHC Medicare Advantage |
$54.66
|
| Rate for Payer: UHC Medicare Advantage |
$54.66
|
| Rate for Payer: UHCCP DNSP |
$54.66
|
| Rate for Payer: UHCCP DNSP |
$54.66
|
|
|
CHG RADEX HUMERUS MINIMUM 2 VIEWS
|
Professional
|
Both
|
$33.00
|
|
|
Service Code
|
HCPCS 73060
|
| Min. Negotiated Rate |
$13.20 |
| Max. Negotiated Rate |
$41.64 |
| Rate for Payer: Aetna Commercial |
$38.75
|
| Rate for Payer: Aetna Commercial |
$38.75
|
| Rate for Payer: Aetna Commercial |
$38.75
|
| Rate for Payer: Aetna Medicare |
$28.92
|
| Rate for Payer: Aetna Medicare |
$28.92
|
| Rate for Payer: Aetna Medicare |
$28.92
|
| Rate for Payer: BCBS Complete |
$42.00
|
| Rate for Payer: BCBS Complete |
$13.20
|
| Rate for Payer: BCBS Complete |
$16.00
|
| Rate for Payer: BCBS MAPPO |
$28.92
|
| Rate for Payer: BCBS MAPPO |
$28.92
|
| Rate for Payer: BCBS MAPPO |
$28.92
|
| Rate for Payer: BCN Medicare Advantage |
$28.92
|
| Rate for Payer: BCN Medicare Advantage |
$28.92
|
| Rate for Payer: BCN Medicare Advantage |
$28.92
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cash Price |
$26.40
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cash Price |
$26.40
|
| Rate for Payer: Cofinity Commercial |
$38.75
|
| Rate for Payer: Cofinity Commercial |
$41.64
|
| Rate for Payer: Cofinity Commercial |
$41.64
|
| Rate for Payer: Cofinity Commercial |
$38.75
|
| Rate for Payer: Cofinity Commercial |
$41.64
|
| Rate for Payer: Cofinity Commercial |
$38.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.92
|
| Rate for Payer: Healthscope Commercial |
$34.70
|
| Rate for Payer: Healthscope Commercial |
$34.70
|
| Rate for Payer: Healthscope Commercial |
$34.70
|
| Rate for Payer: Healthscope Whirlpool |
$34.70
|
| Rate for Payer: Healthscope Whirlpool |
$34.70
|
| Rate for Payer: Healthscope Whirlpool |
$34.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.37
|
| Rate for Payer: Nomi Health Commercial |
$34.70
|
| Rate for Payer: Nomi Health Commercial |
$34.70
|
| Rate for Payer: Nomi Health Commercial |
$34.70
|
| Rate for Payer: PACE SWMI |
$28.92
|
| Rate for Payer: PACE SWMI |
$28.92
|
| Rate for Payer: PACE SWMI |
$28.92
|
| Rate for Payer: PHP Medicare Advantage |
$28.92
|
| Rate for Payer: PHP Medicare Advantage |
$28.92
|
| Rate for Payer: PHP Medicare Advantage |
$28.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$68.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.45
|
| Rate for Payer: Priority Health Medicare |
$28.92
|
| Rate for Payer: Priority Health Medicare |
$28.92
|
| Rate for Payer: Priority Health Medicare |
$28.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.92
|
| Rate for Payer: UHC Medicare Advantage |
$28.92
|
| Rate for Payer: UHC Medicare Advantage |
$28.92
|
| Rate for Payer: UHC Medicare Advantage |
$28.92
|
| Rate for Payer: UHCCP DNSP |
$28.92
|
| Rate for Payer: UHCCP DNSP |
$28.92
|
| Rate for Payer: UHCCP DNSP |
$28.92
|
|
|
CHG RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS
|
Professional
|
Both
|
$49.00
|
|
|
Service Code
|
HCPCS 70160
|
| Min. Negotiated Rate |
$19.60 |
| Max. Negotiated Rate |
$48.90 |
| Rate for Payer: Aetna Commercial |
$45.51
|
| Rate for Payer: Aetna Commercial |
$45.51
|
| Rate for Payer: Aetna Medicare |
$33.96
|
| Rate for Payer: Aetna Medicare |
$33.96
|
| Rate for Payer: BCBS Complete |
$22.40
|
| Rate for Payer: BCBS Complete |
$19.60
|
| Rate for Payer: BCBS MAPPO |
$33.96
|
| Rate for Payer: BCBS MAPPO |
$33.96
|
| Rate for Payer: BCN Medicare Advantage |
$33.96
|
| Rate for Payer: BCN Medicare Advantage |
$33.96
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Cofinity Commercial |
$45.51
|
| Rate for Payer: Cofinity Commercial |
$48.90
|
| Rate for Payer: Cofinity Commercial |
$45.51
|
| Rate for Payer: Cofinity Commercial |
$48.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.96
|
| Rate for Payer: Healthscope Commercial |
$40.75
|
| Rate for Payer: Healthscope Commercial |
$40.75
|
| Rate for Payer: Healthscope Whirlpool |
$40.75
|
| Rate for Payer: Healthscope Whirlpool |
$40.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.66
|
| Rate for Payer: Nomi Health Commercial |
$40.75
|
| Rate for Payer: Nomi Health Commercial |
$40.75
|
| Rate for Payer: PACE SWMI |
$33.96
|
| Rate for Payer: PACE SWMI |
$33.96
|
| Rate for Payer: PHP Medicare Advantage |
$33.96
|
| Rate for Payer: PHP Medicare Advantage |
$33.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.85
|
| Rate for Payer: Priority Health Medicare |
$33.96
|
| Rate for Payer: Priority Health Medicare |
$33.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$33.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$33.96
|
| Rate for Payer: UHC Medicare Advantage |
$33.96
|
| Rate for Payer: UHC Medicare Advantage |
$33.96
|
| Rate for Payer: UHCCP DNSP |
$33.96
|
| Rate for Payer: UHCCP DNSP |
$33.96
|
|
